Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by using Cap-assistaed colonoscopy

Title
Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by using Cap-assistaed colonoscopy
Author
최호순
Keywords
Lipoma; Intussusception; Ileum; Endoscopic treatment; Cap-assisted colonoscopy
Issue Date
2013-03
Publisher
대한소화기내시경학회
Citation
Clinical Endoscopy,2013, 46(4), P.414-417
Abstract
A 73-year-old woman presented with intermittent abdominal pain and weight loss of 15 kg for 2 years. Colonoscopy revealed an erythematous polypoid tumor with a long and wide stalk in the cecum, but with air inflation, it abruptly went away through the ileocecal valve (ICV). An abdominal computed tomography showed a well-demarcated pedunculated subepithelial mass of 2.6×2.7 cm size with fat attenuation in the terminal ileum. It was an intussusceptum of the ileal lipoma through the ICV. This ileal lipoma was causing her symptoms because repeated ileocolic intussusceptions resulted in intermittent intestinal obstructions. In order to avoid surgical sequelae of ileal resection, snare polypectomy using cap-assisted colonoscopy technique was performed within the ileum without complications. The histopathology report confirmed it as a subepithelial lipoma. After endoscopic resection of the ileal lipoma, the patient has been free of symptoms and was restored to the original weight.
URI
https://www.e-ce.org/journal/view.php?doi=10.5946/ce.2013.46.4.414http://hdl.handle.net/20.500.11754/52193
ISSN
1225-7001
DOI
10.5946/ce.2013.46.4.414
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
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